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Hearing Health in College Instrumental Musicians and Prevention of Hearing Loss

机译：高校器乐演奏者的听力健康与听力损失的预防

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OBJECTIVE: College musicians exhibit greater declines in hearing than the general population and are at particular risk because they rehearse and perform daily in loud environments. Also, they engage in use of personal listening devices which increases the amount of "exposure" time. Despite increased risk, many do not use hearing protection devices (HPD). The purpose of this study was to (1) to identify the present level of education about hearing health, (2) identify the perceived advantages and disadvantages of using HPD, and (3) evaluate results among different musical instrument groups. METHODS: A mixed-methods group design was used including both quantitative and qualitative instruments. SPSS was used to generate descriptive statistics, and non-parametric statistical analysis was performed on quantitative data. NVivo software was used to evaluate qualitative responses. RESULTS: Of the 90 college instrumental music students who participated, 12% reported a history of hearing loss, and over one-third reported tinnitus. Seventy-seven percent of participants had never received any training about hearing health and only a small percentage of students used HPD. The most cited reason for lack of protection use was its negative impact on sound quality. However, group differences were noted between brass, woodwind, and percussion musicians in terms of HPD uptake. CONCLUSION: Improving the type of information disseminated to college musicians may reduce the risk of ear-related deficits. Noise dosage information, HPD information, and prevention education grounded in theories like the Health Belief Model may increase awareness and promote greater use of HPDs in this population.
机译：目的：大学音乐家的听力下降幅度要比普通人群更大，并且由于他们每天在嘈杂的环境中进行排练和表演，因此他们面临的风险尤其大。而且，他们参与使用个人收听设备，这增加了“曝光”时间。尽管风险增加，但许多人仍未使用听力保护设备（HPD）。这项研究的目的是（1）确定有关听力健康的当前教育水平;（2）确定使用HPD的感觉到的优缺点;以及（3）评估不同乐器组之间的结果。方法：采用混合方法小组设计，包括定量和定性工具。使用SPSS生成描述性统计数据，并对定量数据进行非参数统计分析。 NVivo软件用于评估定性反应。结果：在参与的90名大学器乐学生中，有12％的人报告有听力损失史，三分之一的人报告有耳鸣。 77％的参与者从未接受过有关听力健康的培训，只有一小部分学生使用了HPD。缺乏防护的最常被引用的原因是它对声音质量的负面影响。但是，铜管乐手，木管乐手和打击乐手在HPD吸收方面存在群体差异。结论：改善向大学音乐家传播的信息类型可以减少与耳朵有关的缺陷的风险。诸如健康信念模型之类的理论基础上的噪声剂量信息，HPD信息和预防教育可能会提高人们的认识并促进对该人群中HPD的更多使用。

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